Individual
MR. NICHOLAS JOHN VIPOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R-13267
IA
2084P0800X
Psychiatry Physician
Primary
R-13267
IA
Other
Enumeration date
04/05/2024
Last updated
08/12/2025
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